Individual provider Active NPI

Ken Kuroda, MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1952436719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 43795 Issued in CA
Practice address
1000 Goodrich Blvd
Los Angeles, CA 90022-5103
Phone
(323) 832-9307
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 43795 CA Primary

Addresses

Primary practice location

1000 Goodrich Blvd
Los Angeles, CA 90022-5103

Mailing address

1521 N Oxford Ave
Pasadena, CA 91104-2735
Phone (323) 832-9307

Other identifiers 1

IdentifierTypeStateIssuer
ENK1028OtherCALA DEPT MENTAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 43795CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. Current Accepting new patients

Locations

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

3208 Rosemead Blvd
Ste 100
El Monte, CA 91731
Phone (626) 227-7001

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952436719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N OXFORD AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042735",
            "telephone_number": "323-832-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GOODRICH BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900225103",
            "telephone_number": "323-832-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURODA",
        "first_name": "KEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA  DEPT MENTAL HEALTH",
            "identifier": "ENK1028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.